Nexus project showcase - Mobile technology
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From Nexus project showcase. Presented by Jackie McKillen, Counties Manukau DHB, at HINZ 2014, 11 November 2014, 1.45pm, Plenary Room
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Nexus project showcase - Mobile technology
- 2. Technology in Practice • Technology is evolving rapidly throughout the world. • Initiatives Worldwide • Initiatives in Place in New Zealand
- 4. The Process
- 6. Screenshot
- 7. What we actually did… • Acute care visiting time reduced by approximately 10mins per visit, previously this was approx 20-25 minutes. • Anaphylaxis and St Johns ambulance forms downloaded and sent to parent for medic alert registration negating need for second visit. • Mobility taxi organised avoiding clinic DNA • Emails sent to work address whilst waiting for appointment reducing wasted time. • Address not on paper map. Google maps sent me straight to the home facilitating a visit I would otherwise have abandoned. • Google maps gives us address and time to destination allowing easier scheduling. • Camera used to capture image of unfamiliar equipment with allowing for right resource to be delivered to the family quickly. • Equipment photo taken when supplies delivered incorrectly and matter resolved immediately with new and correct supplies delivered to family. • Skype used
- 8. What we actually did… • Checked pharmacy ability to fill dietician prescription and organised home delivery. • Enteral feeding You Tube video for family teaching • Heart circulation video used to reinforce cardiologist information. • Internet search for obesity support for children • Vector power site search for funding for support for child using oxygen concentrator who struggle to afford power. • Googled rare syndrome whilst with parent to aid assessment and familial understanding. • Frank Schann paediatric drug dosages app to check prescriptions • Conversion table, and calculator apps used daily with premature infants. • Translator app used at visits negating need for translation services personnel. • Nutricia site used to problem solve in the home when feeding pump failed during child’s feed. • Notebook app used as reminder pad and diary for scheduling • Voice app used to record stridor and determine respiratory compromise necessitating hospital admission as stridor increasing and affecting feeding ability.
- 9. What we actually did… • Mum querying dose of antibiotics, able to check on line at visit to advice if within correct range. • Child required You Tube videos for psychological support during infusions when all other means had failed. • Uploaded video of tracheostomy change made by one of our own team to use with family and teacher teaching. • Telephone and email contact always available. • Play distraction as our service does not have play specialist services. • Project team adjust document quickly and efficiently at reviews negating lengthy IT support. • Frontline practitioners develop relevant, workable, documents rather than outside people creating them.
- 10. OUR EVALUATION • Mobile devices less time consuming than laptop or paper • Improved staff experience • Increased quality of care • Decrease possibility of errors • Service control over documentation
- 11. The Future • Limited solely by your imagination • Research project • Form Development “The best way to predict Our future, is to create it!” - Abraham Lincoln
- 12. Any Questions?
Editor's Notes
- It was cutting edge once and remember if it wasn’t for change the shortest way from London to York would still be by horse
- The research we have found indicates that mobile healthcare is already forging ahead, enabling connectivity and accessibility to health care. Globally mobile technology has already reached low resource settings in remote locations for TB, Aids programmes and community integrated management of childhood diseases. Estimated 1 in 3 people have a mobile device in the world. In NZ we have Plunket mobile, smoking cessation programmes mobile and a few CHW services such as Dr O’Sullivans project with his team in Northland and another Southland and another in Wellington.
- What would change your lives on the road? Regional communication ability, Emails, Intranet, internet, Play Therapy, Education, Form Development, maps, The key word is “instant”
- In came Kinross with their mobile app and form platforms and Samsung sponsored Smart phones supported by Spark. Within a few easy teaching sessions they had 3 frontline nurses with no previous App tech experience developing their own app and documentation applicable to their service.
- This is how a hard copy of the nursing notes appears, looks way better on Samsungs high definition screen. It has lots of dropdown boxes for ease of use and as clinical prompts
- You get the picture, high resolution, easy to use android smart phone with all the bells and whistles you could need and a few more besides
- These are but a few examples. If we needed something the tablet was there for us, in the moment, problems solved. Managers also have capability to track us, good for protection, bad for the long lunch.
- Mobile devices outweigh laptops and paper in all aspects, portability, versatility, connectivity and time saving. From our small study with 14nurses we could save as much as 2,563hrs/year the equivalent of a 1.3fte. Our recommendation.. CMDHB should consider use of the devices in making community services more efficient and effective. We live in a resource constrained world now and within the resource limited space of a Hyundai Getz this mobile resource freed us to do what we are designed to do….nurse children .
- Be the change, adopt technology and make it work for you
- The teams contact details are on our poster at the Nexus stand and we are happy to be approached for resources associated with our work.